NPIMap

Organization Active NPI

Anaheim Urgent Care, Inc

Doing business as Advanced Urgent Care of Beverly Hills

  • Urgent Care Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1619682788
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ANAHEIM URGENT CARE, INC
Doing business as
Advanced Urgent Care of Beverly Hills
Practice address
242 S Robertson Blvd
Beverly Hills, CA 90211-2811
Phone
(310) 652-2300
Fax
(310) 652-2320
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ANAHEIM URGENT CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jamala Pratt
Title
Director of Operations
Phone
(714) 533-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

242 S Robertson Blvd
Beverly Hills, CA 90211-2811

Mailing address

1300 N la Brea Ave
Los Angeles, CA 90028-7504

Other names 1

  • Advanced Urgent Care of Beverly Hills Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080606000728 CA Part B Supplier - Clinic/Group Practice 8325118029 Receives reassigned benefits from 172 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA; Moorpark, CA; North Hollywood, CA; Pasadena, CA; Rancho Palos Verdes, CA; Santa Monica, CA; Thousand Oaks, CA; Torrance, CA…

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

National Provider Directory

National Provider Directory
Tax ID family
Hollywood Urgent Care27 organizations share this tax ID, including this one
Part of
Hollywood Urgent Care

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

9726 Venice Blvd
Culver City, CA 90232
Phone (310) 202-1300

16661 Ventura Blvd
Ste 108
Encino, CA 91436
Phone (818) 808-2828

424 W Broadway
Glendale, CA 91204
Phone (818) 796-5396

4200 E Pacific Coast Hwy
Ste 150
Long Beach, CA 90804
Phone (562) 498-1555

1445 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 798-5158

269 S San Pedro St
Los Angeles, CA 90012
Phone (213) 947-3600

739 N Fairfax Ave
Los Angeles, CA 90046
Phone (323) 655-3933

827 Deep Valley Dr
Ste 100
Rolling Hills Estates, CA 90274
Phone (424) 903-8507

22950 Vanowen St
West Hills, CA 91307
Phone (818) 887-2782

8135 Painter Ave
Ste 104
Whittier, CA 90602
Phone (562) 758-2345

Practitioners & affiliated clinicians

Practitioners 156

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 156

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1619682788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 S ROBERTSON BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112811",
            "telephone_number": "310-652-2300",
            "fax_number": "310-652-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM URGENT CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANAHEIM URGENT CARE, INC.",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "JAMALA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "714-533-2273"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Urgent Care of Beverly Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.